Grand Canyon Casualty


Grand Canyon

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No, you listen, my lovely,

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you've been telling me I'll get a bed for two hours.

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This is an elderly patient,

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he shouldn't be on a hard trolley all night waiting for a transfer.

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Whoa! Erm, Mr Cartwright, let's get him over here, please.

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I'm Dr Lyons, welcome to Holby City ED.

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Let's see what's wrong with you then.

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Well, make the bed yourself. How's that for a brainwave?!

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Oh, yeah? I don't appreciate YOU giving me aggro at eight o'clock

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on a Friday night when this place is swamped. So you are taking him,

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even if I have to come up there myself and make the bed for you. Thank you, my lovely.

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Right, Mr Lovett's good to go.

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Bloods have gone. Still waiting for Mrs Blenheim's scan.

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LFT results for Mr Bhatajee.

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Excuse me. Breathe. You look like you're going to have an aneurism. Are you all right?

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-I'm fine, totally fine.

-Right.

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Annie!

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-We need some more help over here.

-Annie!

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Annie?! Annie!

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OK, OK, Maisie, love. Come on. Let's get you back to bed. Come on.

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Do I have to do everything here?!

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Sorry, been running round like crazy. We're a medic short.

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Is there still no word from her daughter?

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Seem's like family counts for very little these days.

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-Sorry, I...I didn't mean...

-Would you like a cup of tea?

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SHOUTING

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-Britney?

-Sorry, Linda

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Britney, what are you doing here?

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It's all right. I'll take over here

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Hello, can I have a return ticket to Arizona, please?

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The one leaving from Holby at 3.10,

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arriving Amsterdam Schipholl at 5.10. Departing 7.10,

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arriving the following day at Minneapolis at 4.10. Departing 5.25,

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arriving Pheonix Arizona 7.27.

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100, 200, three...

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400.

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Ten, 20, 30, 40...Keep the change. You do take cash, don't you?

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Yes, we do.

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-Wish me bon voyage, Annette.

-Bon voyage.

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Britney, I don't understand. Calm down and tell me who said...

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I told you! That bitch, Rose, Rosie, whatever her name is.

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-She said they're going to split us up.

-Who's Rosie?

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What's wrong with you?! I told you! That cow I have to share with.

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-Don't have a go at me.

-But will they? Can they?!

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Well, they'd have no reason to.

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What have you done?

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Sam, do you have a moment, please?

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Excuse us.

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-Mr Jordan?

-Walk with me.

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I've just been in conference with the GMC. They contacted me

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to say Keith Parr is proceeding with an official complaint against you.

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I know. I had hoped we could sort this out ourselves, but...

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-What?! I could see the minute he opened the door he was in no mood...

-What door?...

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-Oh, please tell me you didn't?

-Well, I felt I had to.

-Oh, Sam!

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It almost killed me to go around there. I just told him I probably shouldn't have done...

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You thought that would do the trick? A half-hearted apology?

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You have a lot to learn about human nature.

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You just made a bad situation a whole lot worse. Thank you.

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Well, luckily the GMC are happy for you to keep working

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while they investigate and they will keep us informed.

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But...I think you should contact your defence society.

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Please avoid discussing this

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with Dylan or Zoe cos it could compromise their testimony

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-Why am I in the dock here?

-Sam, we know what happened

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and we will support you.

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Are you confident you can continue your shift?

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Good. In the meantime, it would be really helpful

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if you could stay out of trouble.

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I know it's wildly out of character, but practise biting your tongue.

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-She called Joe a "spaz"! What would you do?!

-So you head butted her?!

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Course I did. Stupid cow.

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-Britney, you can't go round...

-It's like a prison, that foster home.

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I have to share with this anorexic watching Disney channel on loop.

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Joe's stuck in another room so if he gets upset I can't get near him

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-cos they think they can sort it out better.

-Every house has rules.

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We were OK with you. We were OK! Why did you send us off?!

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You weren't happy. I couldn't look after you properly.

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You could try again.

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-No, I can't.

-Why can't you?

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Why don't you want us?

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Look, I'm at work right now. I'll get you a drink

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and then we'll give Stephanie a call.

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So you can get rid. Mum said you'd be like this.

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Always looking out for number one. Selfish.

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-Britney, please.

-Did the same to her, didn't you? You ditched her in it.

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-That's not fair.

-Truth hurts.

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You're too young to understand the truth. Your mum...

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You shut up about my mum!

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My mum's worth ten of you so shut your filthy mouth!

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-Or what? You'll head butt me too?

-You'll see.

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What goes around, comes around.

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You'll have no kids, you're too old now anyway

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and you'll die a lonely, sad cow.

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Listen to yourself! You wonder why I don't want you around?!

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-What's going on?

-She's a nasty piece of work. That's what's going on.

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I hate you, you hear that? Hate ya!

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Don't ever come near me, ever again.

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You all right?

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Oh, hallelujah. I thought you'd never leave!

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-Charming.

-Now, you've got the hotel number, get some pizzas,

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-and there's more beers in the fridge.

-Rock'n'roll.

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Now, Arabella, do you think you might finish a party on your feet,

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and not on your knees?

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-Nope. Sorry, no can do.

-Well, your mother's an eternal optimist.

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I mean fantasist.

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Have a lovely time, darling. You really deserve it.

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Stop embarrassing him.

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So, how are you, Son?

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Yeah, just...feel a bit... You know...

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-..Bella.

-Don't.

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Sometimes there's place for only one at the mountaintop.

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Your sister's fine. Well... she'll take care of herself.

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Look, next month, I'm going to New York, cardiology conference,

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and, well, I thought you might like to join me.

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Yes, you heard.

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We'll talk more anon.

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Wish me luck.

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I'm going to try and get your dad to relax for the evening.

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We love you too. Goodbye.

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Hallelujah. We have lift off!

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I don't suppose you could check me in? I've only...

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Owww.

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You OK, madam?

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-Sorry, sorry.

-Are you all right?

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This is where you've been hiding. What are you doing?

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-Erm, nothing, just...

-Oi. You need to chillax.

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-What's this?

-Little happy pill.

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Cheer you up. Come on, golden boy. One night only?

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It's going to be pretty full on for you soon.

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Let's go.

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Go, go, go!

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Britney. I'm sorry, it's all got out of hand.

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Just come back here and we'll talk, OK? Please, ring me back.

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Oh, Linda, sorry. Are you all right? It's just we really need you.

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Yeah, I'll come now.

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Stephanie, it's Linda Andrews here. I'm sorry for calling so late.

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DISTORTED MUSIC

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'It's busy. Go away!'

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Houston, we have a problem.

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Get the hell down!

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Louis, what are you doing?

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Guys...you need to get down! Get down!

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Louis, don't!

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Guys, you need to get down!

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Guys, you got to get down from here. My parents are going to be back.

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GLASS SHATTERS

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(CRIES) Louis!

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Thanks, bye.

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That looked a bit intense. Did she do a runner?

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Social worker said it's quite common If I don't hear back

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-in the next hour, I should call the police.

-Suppose it is.

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When I was in care, I went AWOL every second day.

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Thanks for that, I feel much better.

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-I could cover you for you if you like.

-I'd rather keep busy.

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I'll take this one.

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You're wasting your time.

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All right, Linda? This is Josie Betts, 38,

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she fell over at the airport. Query fractured right ankle.

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It's very swollen but she's got good circulation.

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-She might have had a little drink or two.

-I can't miss my flight.

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I wouldn't want to miss it either. she's on her way to Phoenix.

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Arizona? Wow.

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Cubicles are a bit full, so take her to CDU.

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Dix? Come on, mate. We got a shout. Could be big.

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Someone's gone through a glass roof at a party.

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OK, more, fun and games.

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Woah, woah, woah. It's OK, we've all been there.

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'Just come back here and we'll talk, OK?'

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'Please, ring me back.'

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You all right, mate?

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Course.

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I'm Bethany.

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Want to come sit with us?

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All right.

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This'll make you feel much better.

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'Too much bubbly.'

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Got a bit carried away.

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Been planning this trip for ages.

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-Phoenix, you said, eh?

-Yeah, the Grand Canyon.

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-I want to see the Grand Canyon.

-And take the helicopter ride?

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-Yeah, exactly. Have you been?

-Yes.

-Amazing is it?

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Hell, yeah.

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-Ow.

-Sorry. Ankle doesn't look too clever. Let's get an X-ray.

-How long will that take?

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We'll be as quick as we can.

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-Is there anyone we can call for you?

-No. I'm a free agent, me.

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Hi, it's Linda in CDU. I need an X-ray for Josie Betts.

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All right, thanks.

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-But my flight leaves in a few hours!

-I'll be right back.

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All that bloody nurse act.

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Then she ships us off to that dump with the clueless couple.

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Anyway, I told them where to get off.

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I just do this.

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That must have hurt

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Here, give us your phone.

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She's in CDU. Quick as you can, please.

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Cracking the whip tonight, eh?

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I just want to get Josie on that plane.

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What? Hoping there's room in the suitcase, are you?

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Well, I wouldn't say no.

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A Thunderbird, sunnies, an open road...

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-Oh, yeah? Where we going then?

-You're going nowhere, mate.

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Awww, he can come.

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-No. Oh, no. I thought this was just me and you, Thelma?

-Come on.

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-I think he'd look cute in a cowboy hat.

-Oh, do you reckon?!

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Hey hey! Yes, siree, partner.

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What?

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'GCS at the scene was 14/15.'

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BP 140/70, pulse 70, sats are at 95% on O2.

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He had five of morphine on the way in and he's very tachycardiac.

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Is he going to be OK?

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This is Arabella, Louis' twin sister. Parents were at Rosebury Manor for the night.

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Apparently, they knew about the party.

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Louis? Louis, speak to me!

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OK, Louis, I'm Sam, I'm a doctor here at Holby City ED.

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We're going to take good care of you, OK?

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Very gently on three, please. One, two, three. Lovely.

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OK, does it hurt anywhere else apart from your arm? No? OK.

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Right, let's get another line in, start him on the usual bloods,

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including group and save and lets do a venous gas.

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OK, Louis? Louis, can you hear me?

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OK, let's have another look. Well there is no obvious injury

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apart form the fractured forearm.

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ABC's are normal, hypo-tachycardia.

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Abdomen soft. Could be looking at internal injury, hypolemia...

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Louis I'm going to have to ask you, have you taken anything tonight?

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Because your pupils are dilated and your pulse is all over the shop.

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I...I...I don't know

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OK, Look no one's going to be angry with you, mate, but we need to know as soon as possible.

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He's taken Meow Meow. I know. I gave it to him.

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Meow Meow. OK, thank you. He'll need supportive management.

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-Keep him on the cardiac monitor and start a bag of Hartmann's.

-Good call.

-Let's rock and roll.

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Is that Josie's?

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Yup she's lucky there's mostly just a soft tissue swelling just a really bad sprain.

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MOBILE BEEPS

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Does she think that's funny?

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"I bn kidnapd u need 2 pay 1000 pnds b4 2morro or nevr c me again."

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At least you know she's all right. Rubbish at spelling, like.

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Sorry. Excuse me, I can't wait any more.

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Are you OK? Can someone clean this up, please? Back to bed.

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Watch yourself, watch.

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Did you bump your stomach when you fell?

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-Abdomen feels distended. I'll get the fast scanner, keep her in the bed.

-You don't need that.

-Humour me.

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You can't get on a plane if you are unwell.

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I can discharge myself, can't I?

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-I don't want to stay here, I've had enough of people pushing and poking me.

-Josie what's is going on?

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-Nothing, I... I told you, you don't need that.

-Why?

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Because I can tell you what you're going to find.

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I have ovarian cancer. Stage 3.

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Pulse is settling. That's good news.

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You did the right thing telling us so early.

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Mum and Dad?

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Not yet. Any minute, I'm sure I'm officially dead meat...

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They don't have to know, do they? About the drugs? We're nearly 16.

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"Nearly" being the operative word.

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Please. I just needed to let my hair down for one night, I've been studying really hard.

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He just got into Edwalton college...

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I convinced them throw a surprise party.

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Yeah, well, you certainly managed the "surprise" bit.

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Exactly. What good would it do?

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I learnt my lesson, I swear it.

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-It was just a mistake. Have you never made a mistake?

-Me? Never(!)

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They said 12 months with chemo, or 6-12 months without. Lovely.

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And you've refused further treatment?

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I can't do it again. It nearly finished me off last time.

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I don't want to spend the time that I have left lying in bed, vomiting,

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losing my hair, and...dying, just doing it really slowly.

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I want to see the Grand Canyon.

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-Why didn't you tell us?

-I don't like that look in people's eyes when they feel sorry for you.

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It's not quite as simple as that.

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Say you do go and your condition gets worse. Your insurance isn't going to cover you.

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I appreciate what you're saying, but I think that's up to me, isn't it?

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Look, if I don't catch that flight, I will never have the money to go again.

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Do you have your boarding card?

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We'll then there's still time.

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-I'm entitled to patient confidentiality.

-There's no point.

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You know what they're like. They'll be all over this place like a rash. Dad's head of Cardiology at St James.

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-And Mum's a solicitor so between them they think they run the galaxy...

-Well, they don't run this ED.

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-Yes, with respect I am a doctor.

-And with respect you could be the PM you can't barge in here.

-Son.

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-Louis!

-Mr Blakeley, I'm Sam Nicholls, ED SPR.

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It's Doctor Blakeley, actually.

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Yes, I'm aware of who you are. Would you mind if we stepped outside and have a little word with you.

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-No need, we're fine here.

-All the same. Shall we?

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Right. Let's hear it.

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-Hugh, please. This isn't your ward.

-No, I'm all ears. Obviously if you know who I am,

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you'd know there's no reason to usher me out.

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Of course. But right now, you're a father, not a doctor,

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and, understandably, there are two very anxious children in there

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very worried about how you may react.

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Yes, well, with respect, you don't have to shield our children from us.

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-We treat them as adults.

-Absolutely. We knew all about the party and we know what teenagers are like.

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Great. So Louis has a mildly angulated distal radial fracture.

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The orthopaedic registrar is currently reviewing the films

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to see if it needs manipulating.

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And the tachycardia? I've read the obs chart.

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Is it me or were his pupils a bit dilated?

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We could fit her with a Beckham boot, give her a couple of paracetamols and put her in a cab.

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Just cos you're desperate to get on a plane yourself. Maybe we shouldn't take her word for everything.

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OK, wake up her oncologist, then go tell her she may miss her flight.

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Lenny it's now or never for that woman.

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She's got nothing here, and at the end of the day, she's an adult.

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She can discharge herself. This lot need their marching orders.

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This is really inappropriate.

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Have you taken an illegal substance tonight? I'd appreciate hearing it from you.

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Right.

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Why? What were you thinking?

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What?

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Tell me you haven't.

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-Mum, please.

-You gave them to him?

-What am I missing here drugs, Bella?

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It's one thing getting legless at a party, but bringing drug dealers and all sorts into our home?

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-I'm a solicitor, for heaven's sakes!

-It wasn't like that!

-Are you jealous?

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-What?!

-Why else would you? Are you trying to jeopardise him?

0:21:300:21:32

You're going to say nothing? I didn't shove them down his throat, did I?

0:21:320:21:35

Will you just cut it out? All of you!

0:21:350:21:39

I didn't get into Edwalton College. I failed my exam. I lied.

0:21:410:21:45

I was in a bit of a state. I wasn't thinking.

0:21:480:21:51

It's not Bella's fault.

0:21:510:21:53

I understand that you are all very upset and angry, but this is a resus room.

0:21:550:22:00

Upset? Yes well you could say that.

0:22:000:22:03

May I remind you that he's a minor

0:22:030:22:04

and you have been withholding vital information for us.

0:22:040:22:07

A minor you've said you treat like an adult.

0:22:070:22:09

I want to see your consultant.

0:22:100:22:12

MOBILE BEEPS

0:22:150:22:16

Whoa. Andi's text. "This isn't funny. Call me". Bossy cow!

0:22:160:22:22

Told you she don't care.

0:22:220:22:23

-She soon would, if she thought we mean business.

-Too right.

0:22:230:22:26

I'm up for it.

0:22:260:22:29

I really appreciate this.

0:22:290:22:30

You're rushed off your feet, you've got timewasters like me.

0:22:300:22:34

It's not a problem. At least, I've made someone happy tonight.

0:22:340:22:37

MOBILE BEEPS

0:22:370:22:39

Excuse me.

0:22:390:22:41

Bad news?

0:22:460:22:47

Just family stuff. My niece. Constant reminder why I've never had kids...

0:22:470:22:53

-You OK?

-Yes yes just got a bit of a...

0:22:560:22:58

-Headache?

-..Mm. Champagne is evil.

0:22:580:23:02

-Linda can I get a word?

-Excuse me.

0:23:060:23:10

-Look at this, can you believe that.

-I don't know what I believe any more.

0:23:110:23:16

Josie Betts' notes. Take a look at the next of kin.

0:23:160:23:18

'I understand your frustration'

0:23:240:23:25

but I can see where Dr Nicholls is coming from.

0:23:250:23:28

Louis is only a few months away from being 16,

0:23:280:23:32

he seems perfectly aware of the significance of what he's done.

0:23:320:23:36

He's Gillick competent and as his doctor, I respected his right to privacy.

0:23:360:23:39

I would have found out anyway, I am a cardiologist for heaven's sakes.

0:23:390:23:43

But he was adamant. And judging by that scene we just had...

0:23:430:23:46

Which never would have happened if you'd told us straight off.

0:23:460:23:49

Look what's done is done. Let's try and move forward here.

0:23:490:23:52

-Louis is much better, he's no longer in any danger.

-Absolutely.

0:23:520:23:56

We are waiting for the orthopaedic registrar to come and give him the once over,

0:23:560:24:00

-and we will be transferring him to Paediatrics.

-Hopefully, it's not too much to ask to be kept in the loop?

0:24:000:24:05

-Of course not.

-Excellent.

0:24:050:24:06

Walk with me.

0:24:120:24:14

They leave a bunch of teenagers alone to party unsupervised,

0:24:140:24:17

tart it up as progressive parenting and then when it all goes wrong

0:24:170:24:20

they realise their kids aren't saints, they blame it on the medic.

0:24:200:24:23

They've just had a shock, don't take it personally.

0:24:230:24:26

Thanks for...

0:24:300:24:32

backing me up.

0:24:320:24:33

Families are complex, Sam.

0:24:330:24:35

A husband and two kids. That's not something you forget to mention.

0:24:570:25:01

What was I supposed to say?

0:25:010:25:04

"I have cancer and I've left my family

0:25:040:25:07

"cos I want to go and see the Grand Canyon?"

0:25:070:25:09

Doesn't sound too good, does it?

0:25:090:25:12

How old are they?

0:25:120:25:14

Will's 12. And... Ben is nearly 10.

0:25:160:25:20

See? That's why.

0:25:220:25:24

No, I'm not judging you, I just want to understand.

0:25:240:25:27

Understand?! Understand what? I can't do this any more.

0:25:270:25:32

That house was like a prison. I couldn't breathe.

0:25:320:25:37

I'm not like you.

0:25:400:25:41

I haven't done anything with my life.

0:25:410:25:45

I just want to be able to do something on my own.

0:25:470:25:51

For me.

0:25:510:25:52

-Can I have a minute?

-Of course.

0:25:590:26:03

Look, Son. I won't deny the fact that tonight was...well, a shock.

0:26:090:26:16

On many counts. But we've been talking, your mum and I.

0:26:160:26:21

I was saying to your dad, you must have been under a lot of pressure.

0:26:210:26:25

And we've been very busy. Too busy to notice, perhaps.

0:26:250:26:31

-It's just...I didn't want...

-To disappoint us. Yes, yes. We know.

0:26:310:26:35

Louis, you have all this potential, all this talent.

0:26:350:26:39

We know how much you want this.

0:26:390:26:40

So we've decided that we'll take time off from work, get you a good tutor,

0:26:400:26:46

and we are going to approach this in a more structured, methodical way.

0:26:460:26:51

-But I...

-All is not lost.

0:26:510:26:53

You can take that exam again you're going to get straight back on the horse.

0:26:530:26:57

We are going to work together, and you are not to worry,

0:26:570:27:01

I'll make sure you pass, if it's the last thing I do.

0:27:010:27:04

You just rest, OK?

0:27:070:27:09

HE MOANS

0:27:220:27:24

What is it? Your stomach?

0:27:240:27:26

Acute retention. We need to get you an urgent ultrasound down here ASAP.

0:27:290:27:32

Your bladder's distended and it's full to bursting. Breathe nice and deeply for me.

0:27:320:27:36

-Thank you, thank you so much.

-I hope you find everything you're looking for.

0:27:380:27:44

-Send us a postcard.

-I will, when I clamp.

0:27:440:27:48

Clamp? What's clamp?

0:27:500:27:53

When I get to the other end, you know, the, um...the, um...

0:27:530:27:58

-Woah, you OK? Can I have some help, please.

-No...

0:27:580:28:02

Josie, listen to me. I know you're desperate to leave,

0:28:020:28:05

but it wouldn't be safe for me to let you.

0:28:050:28:07

There's something wrong, and we need to know what it is.

0:28:070:28:10

-Do you understand?

-Yeah?

0:28:100:28:12

Yeah, OK, just sit back now.

0:28:120:28:15

There you go.

0:28:150:28:17

OK, thanks.

0:28:210:28:24

I can't work it out. Either we've overlooked a perineal injury

0:28:240:28:27

or it could be "performance anxiety" due to stress?

0:28:270:28:30

-That was Paeds on the phone.

-I mean his parents have just announced phase two of Project Golden Boy.

0:28:300:28:35

They've found a bed for Louis Blakeley.

0:28:350:28:37

Guess who tonight's PICU Consultant went to medical school with.

0:28:370:28:40

Dr Blakeley. Nice. Well, I'm still not finished with their son.

0:28:400:28:45

We need to catheterise him,

0:28:450:28:46

make sure there's an obstruction down there.

0:28:460:28:49

He ain't going anywhere just yet.

0:28:490:28:51

There you go.

0:28:530:28:55

Most men normally ask me to marry them at this stage, they're so grateful.

0:28:550:28:59

OK, well there is no obvious obstruction

0:29:010:29:04

so I think we can exclude any damage to the urethra.

0:29:040:29:07

-Would you like me to get anyone? Your mum...

-No! No, thank you.

0:29:070:29:12

OK, I just going to check your reflexes.

0:29:130:29:15

OK, just look up for me.

0:29:160:29:19

Hmmm. OK.

0:29:240:29:26

Can you just!

0:29:330:29:35

Sorry, I'm tired, and... And these lights...

0:29:370:29:42

OK. Could we dim the lights, please?

0:29:440:29:46

-How's he doing?

-Can we see him?

0:30:020:30:04

I've just turned the lights down. He desperately needs to rest.

0:30:050:30:09

I think you should all just give him some space.

0:30:090:30:11

If it is from my head, could be concussion?

0:30:140:30:18

Let's see. Shouldn't take too long.

0:30:180:30:21

So I take it she had a pretty convincing reason for why she kept changing her story all the time?

0:30:320:30:37

She was so upset said she had to do this for herself.

0:30:370:30:40

HE SIGHS

0:30:400:30:42

What? Why is it that everyone presumes a woman would just never pack up and decide she's had enough?

0:30:430:30:49

-If she was a man you'd shake his hand and offer to buy him a drink.

-All right, Linda call off the dogs, eh?

0:30:490:30:56

-Lenny.

-You're kidding me.

0:30:560:30:59

Right. OK.

0:31:040:31:06

-No, no, not call no-one! No.

-I really think there should be someone with you now.

0:31:060:31:14

-Why?

-Let's get you in here.

0:31:140:31:18

-Tell me.

-Can you get that curtain?

0:31:200:31:23

Your cancer has metastasised. It's spread to your brain.

0:31:330:31:38

After what you've experienced today the nausea, the fall,

0:31:380:31:42

it's probably been caused by the tumour which we believe is bleeding.

0:31:420:31:47

Now, we've spoken to the neurosurgeons,

0:31:470:31:50

they can get you into theatre and relieve the pressure, but...

0:31:500:31:54

-How long?

-Not long.

-Please, let us call your family?

0:31:540:32:02

She still isn't got back, the stupid idiot. We should go down the hospital, put the pressure on.

0:32:050:32:10

Nah, there'll be security and stuff there need to get her out, on her own.

0:32:100:32:14

Maybe we should just leave it, I only wanted to wind her up.

0:32:140:32:17

-We ain't leaving it.

-Here, let me ring her?

0:32:170:32:19

We should duff her up a bit and send the picture, she'll come out then.

0:32:190:32:24

What do you mean, duff me up? Give me my phone!

0:32:240:32:28

Shut up! What, you worried you won't get your share?

0:32:280:32:31

I don't want my share I don't want to do this!

0:32:310:32:33

We're ain't asking you! Told you we should duff her up!

0:32:330:32:37

Arghhh! You cow!

0:32:370:32:39

-No, I want to leave!

-Josie, please try and stay calm.

0:32:420:32:46

-You might have to sedate her.

-Josie, breath with me. One...

0:32:490:32:54

Linda.

0:32:540:32:57

I'll be outside then.

0:32:580:33:00

I know this is a terrible shock.

0:33:020:33:05

I can't call them! I can't call them!

0:33:050:33:09

You are dying.

0:33:090:33:10

Maybe that's for the best. On my own.

0:33:100:33:15

You need your family

0:33:150:33:16

They won't forgive me. What do I say?

0:33:160:33:22

Josie, all this time, you've had a brain tumour growing,

0:33:220:33:25

your emotions, your reactions,

0:33:250:33:27

they could have been totally affected by that.

0:33:270:33:29

-You weren't thinking straight, your family will understand.

-It's too late!

0:33:290:33:34

No, it isn't!

0:33:340:33:36

You just have to explain to them. Josie, you may not see them again.

0:33:360:33:40

I should have left tonight, please, please, don't force me to, please!

0:33:400:33:48

It's OK.

0:33:480:33:49

Catheterisation excluded any trauma to the urethra,

0:33:490:33:53

peripheral nervous system examination is normal, excluding spinal trauma.

0:33:530:33:58

-So despite your concerns, you've found nothing conclusive so far?

-That is correct.

0:33:580:34:03

But you think there might be something else? What can it...

0:34:030:34:07

Well, it could be any number of options. We could be here all night.

0:34:070:34:10

They could vary from a passing episode,

0:34:100:34:12

to a dormant physical condition, or something he forgot to mention.

0:34:120:34:16

Exactly. So, on balance, perhaps it would be better

0:34:160:34:19

to transfer him to the ward and monitor the situation.

0:34:190:34:21

I presume you could use the extra bed?

0:34:230:34:26

I've been asked to advise you that, obviously, as Louis took MCAT,

0:34:260:34:31

CAHMS are going to want a word with him, just to make sure.

0:34:310:34:34

-Of course.

-Louis Blakely. I don't know what's up,

0:34:340:34:39

-but his obs have deteriorated.

-OK, thanks.

0:34:390:34:42

I've tried taking to Josie. I can't force her.

0:34:420:34:45

Maybe she'll change her mind after the op. Why hasn't she called me back? It's doing my head in.

0:34:450:34:51

Could we argue that she's not compos mentis? Make the decision for her?

0:34:510:34:55

-No.

-Why? You said yourself she's not thinking straight right so...

0:34:550:34:58

But she's not been hallucinating, she's not been rambling.

0:34:580:35:01

Oh, come on, Linda. She's hardly got the capacity at the moment, has she?

0:35:010:35:05

So what you wake her family up in the middle of the night

0:35:050:35:07

and spring this on them and it's all going to be a peaceful reunion by her death bed?

0:35:070:35:12

Cos it may not be. It may be messy.

0:35:120:35:13

-And then we've turned her last few hours into a living hell.

-I'm only thinking of her here, right.

0:35:130:35:18

And what do you know about her? About her life?

0:35:180:35:21

We may not like her decision but it's her right to walk away from her family,

0:35:210:35:24

die on her own if she wants to. It's her choice.

0:35:240:35:27

Louis? Louis, can you hear me? Louis, can you squeeze my fingers for me?

0:35:270:35:31

OK, let's get a full set of obs, get him on the oxygen.

0:35:310:35:35

-He's tachycardic AGAIN!

-How can he be?!

0:35:350:35:37

Call Mr Jordan!

0:35:370:35:39

It's OK.

0:35:390:35:41

There's no free fluid.

0:35:440:35:46

His pupils are dilated, again. Whack up the oxygen and let's do a venous gas.

0:35:480:35:53

OK, heart rate 120, BP 87 over 64.

0:35:530:35:56

This can't be the MCAT now.

0:35:560:35:58

N-No, it can't. He, erm... He-he never took it.

0:35:590:36:02

What?!

0:36:020:36:03

-What's this?

-He was writing it when I came in his room tonight.

0:36:050:36:08

It's, er...a list of how to look after Peanut. Our dog.

0:36:080:36:11

Talk to me, Sam.

0:36:110:36:13

Right, OK, look at this. We've got a wide QRS and right axis deviation.

0:36:130:36:18

-That is not consistent with MCAT.

-It's not MCAT.

-What else haven't you told us?!

-Nothing!

0:36:180:36:22

-Do you mind? We're trying to help your son.

-I'll get it out of him.

-No, you wont.

0:36:220:36:26

-I know him better than anyone.

-Outside now, please. All of you, out.

0:36:260:36:30

OK, this way, please. Come on. Come on.

0:36:300:36:33

Louis?

0:36:350:36:36

-Louis?

-Look, he took something, but what?

0:36:360:36:39

PHONE RINGS

0:36:450:36:47

Britney?

0:36:470:36:48

Britney, where are you? You need to tell me where you are!

0:36:510:36:55

I don't know.

0:36:560:36:57

-'They're after me!'

-What?! Who's after you?

0:36:570:37:00

Down here!

0:37:000:37:01

Let's get her!

0:37:030:37:04

COMMOTION OVER THE PHONE Brit?

0:37:040:37:06

What's in the bag?!

0:37:060:37:07

-You're going to pay for this!

-Get her phone!

0:37:070:37:10

COMMOTION CONTINUES Britney?!

0:37:100:37:13

Let's take this outside.

0:37:140:37:16

Is there anything else he could've taken? Any other tablets lying around house?

0:37:160:37:20

-You must have missed something!

-I don't think I have.

0:37:200:37:23

The urinary retention - could he have got hold of any tricyclics?

0:37:230:37:26

-Tricyclics?

-Anti-depressants.

-Look, this is, er...

0:37:260:37:29

This is ludicrous!

0:37:290:37:31

You must have missed something! Why aren't you sending him for an MRI?!

0:37:310:37:36

-Stop it. There's no point. She needs to know.

-Know what?

0:37:360:37:38

Hugh's been taking anti-depressants for years.

0:37:380:37:42

-Dad?

-Yes. They would be consistent with his symptoms.

-You're barking up the wrong tree.

0:37:430:37:48

This all makes sense now. He took a few at the top of the evening,

0:37:480:37:51

then he lied about it to cover his tracks. Then he took the rest... when he was in my care.

0:37:510:37:55

-Look, are you deaf?! I'm telling you, why would he?!

-Why?!

0:37:550:38:00

The pressure! The failed exam, a surprise party!

0:38:000:38:02

He was writing a list of how to look after his dog! God knows how long he's been bottling all this up.

0:38:020:38:07

-No, n-not Louis...

-Oh, my God...

0:38:070:38:10

Then you just go on in there and tell him he has to do the whole thing all over again!

0:38:100:38:14

No, this is ridiculous. You know...

0:38:140:38:16

Look, w-what are you trying to say, you STUPID girl?!

0:38:170:38:20

You want to hear it? Fine!

0:38:200:38:22

Your son tried to take his own life.

0:38:220:38:24

Dr Nicholls. Your patient, please.

0:38:240:38:27

-Hugh, you need to listen to me. What she says makes sense.

-No...

0:38:390:38:42

-Yes. We have to face it. We did this to him. We put way too much pressure on him...

-Don't be ridiculous!

0:38:420:38:48

He's not YOU! He will never be you!

0:38:480:38:50

He was unhappy, really unhappy.

0:38:500:38:52

Of course he wasn't! Why would he be?!

0:38:520:38:54

He's going to New York with me, then he's going back to school, then...

0:38:540:38:58

-Look, he's a really talented boy...

-He's DEPRESSED!

0:38:580:39:01

He's just tried to end his own life!

0:39:010:39:03

No more, Hugh. I'm not going along with this any more. They need us!

0:39:030:39:08

Now, I'm telling you, you drop your pride and you get back in there and be a dad to him!

0:39:080:39:13

-I'm sorry, I just... I couldn't...

-There's a fine line between being honest and being blunt.

0:39:150:39:20

We would've worked it out without you aggravating the situation.

0:39:200:39:24

OK, I'm giving him 10 mils of 8.4 bicarbonate before he develops arrhythmias.

0:39:260:39:32

OK?

0:39:340:39:35

Hugh!

0:39:400:39:41

Hugh, stop!

0:39:430:39:44

Listen, please! Just listen to me...!

0:39:450:39:47

-He hasn't taken those pills and I'm going to prove it!

-Hugh!

0:39:470:39:51

Hugh!

0:39:550:39:56

SEATBELT WARNING BLEEPS

0:40:000:40:02

Yes, and then the phone went dead.

0:40:070:40:09

OK, I will. I will, thanks.

0:40:110:40:13

-So?

-Stephanie's calling the police again.

0:40:200:40:23

Lenny, she's in trouble. If something happens to her...

0:40:250:40:28

The last thing I said to her was I didn't want...

0:40:280:40:31

Don't do that to yourself. Maybe you should go home.

0:40:310:40:35

No, I'll go out my mind.

0:40:370:40:38

OK. At least go outside, get yourself some fresh air.

0:40:400:40:42

It's an order. Go, go.

0:40:430:40:45

-How is he?

-Stabilising. We were on the right track with the tricyclics.

0:40:590:41:04

But...he's still drowsy, he's still unwell.

0:41:050:41:08

This is pretty potent stuff when taken like this.

0:41:080:41:11

Where is...er...

0:41:110:41:12

He...

0:41:120:41:14

He took off.

0:41:140:41:16

I'm sorry, I, erm... I know it's a lot to take in.

0:41:170:41:20

Louis. Why?

0:41:280:41:30

I couldn't do it any more, Mum.

0:41:310:41:33

I'm not golden boy.

0:41:340:41:36

But you never said.

0:41:370:41:39

Why didn't you say?

0:41:390:41:40

Maybe...

0:41:420:41:43

..he was scared that...you'd treat him like me.

0:41:440:41:47

Miss Useless.

0:41:470:41:49

(What?)

0:41:490:41:51

We never thought you were useless.

0:41:520:41:55

We just...don't want to force you to be something you're not.

0:41:550:42:00

What? What's happened?

0:42:050:42:08

We've just had reports of an accident just outside the ED. Teenage girl, multiple trauma.

0:42:080:42:13

I'm afraid your husband was involved.

0:42:130:42:15

SIRENS WAIL

0:42:310:42:33

Helena...

0:42:460:42:48

-OK.

-Ready? Go, go, go.

0:42:520:42:54

You're at Holby City Hospital, sweetheart. Stay calm for us! We'll get you inside.

0:42:540:42:58

Go, go, go.

0:42:580:43:00

Breathe nice and deeply for me. We'll get you sorted out, OK.

0:43:000:43:03

Britney?

0:43:030:43:05

Tash, can we move Mr Blakeley to HDC, please?

0:43:070:43:10

Got a young girl 12, 13-years-old, no ID.

0:43:100:43:14

She's been hit by a car at approximately 30 miles an hour about two streets away from here.

0:43:140:43:19

Find out a name, please. I'll call Ortho.

0:43:190:43:21

Can you hear me? What's your name, darling?

0:43:210:43:23

Britney! It's Britney!

0:43:230:43:26

What is it?

0:43:270:43:28

It's not her.

0:43:350:43:37

It's not her.

0:43:380:43:39

OK, can I get in there?

0:43:390:43:42

What was her GCS?

0:43:420:43:44

OK, thanks.

0:43:450:43:46

That's was her coat. They've got her mobile. But where is she, Lenny?

0:43:480:43:53

You know, when she turns up, I'm taking them back,

0:43:530:43:55

cos I'll never have a full night's sleep unless I know they're safe.

0:43:550:43:59

(I know.)

0:43:590:44:00

Britney...

0:44:030:44:04

Apparently they took everything off her. She feels totally humiliated.

0:44:160:44:20

The girl's now in ITU and the other two boys have gone AWOL.

0:44:200:44:24

It's just awful, isn't it?

0:44:240:44:26

Let me talk to her.

0:44:260:44:28

I hope you have more luck than me. She's still freezing me out.

0:44:280:44:31

Sorry, if you'll excuse me, Stephanie.

0:44:330:44:36

-I'm just taking her up to theatre.

-I'll take over.

0:44:390:44:43

-You sure?

-Yeah.

0:44:430:44:45

Josie, will you let me call your family for you?

0:44:460:44:50

I might be wrong, and if I am, I won't mention it again.

0:44:500:44:53

But, please, I think you want to say goodbye.

0:44:540:44:57

How, erm...

0:45:190:45:20

H-How is she?

0:45:220:45:24

Stable.

0:45:260:45:27

The police are pressing charges.

0:45:300:45:32

Louis?

0:45:360:45:37

Much better.

0:45:380:45:39

But he'll be...

0:45:410:45:42

..referred to the Psychiatric Unit.

0:45:430:45:46

We got it wrong.

0:45:500:45:52

We need to go and apologise to our children.

0:45:520:45:54

-Josie gone up to theatre?

-Yeah.

0:46:000:46:02

-AMERICAN ACCENT:

-Hey, you still hankering after that slice of apple pie?

0:46:020:46:06

Humble pie, more like!

0:46:070:46:09

-Little Lohan still not talking to you?

-Nope.

0:46:100:46:14

-Perhaps you should "strt" with a "T-X-T".

-Good idea.

0:46:150:46:18

You think that'll work?

0:46:200:46:21

-I-M-H-O?

-Yeah! H-M-U, my bro!

0:46:210:46:26

Oh, come on! You better start taking lessons, doll.

0:46:280:46:32

-K-I-R, Dr Lyons, K-I-R.

-Eh, eh?

0:46:320:46:33

-What's K-I-R?

-Keep it real.

0:46:370:46:39

-Mr Betts?

-Yeah.

-I'm Linda Andrews. Come through.

0:46:430:46:46

-Going to jog home?

-No, I'm going to walk.

0:46:520:46:55

-You staying?

-No rest for the wicked.

0:46:560:46:58

Mm! Thank you.

0:46:590:47:01

If there's anything you need, Mr Betts, then let me know.

0:47:040:47:07

Could you take these through to see Josie? Thank you.

0:47:070:47:10

-Mr Betts? Is that...?

-Josie's family.

0:47:100:47:13

It was the right thing to do.

0:47:130:47:15

I'll take Britney back now. We're very lucky. These are experienced foster parents.

0:47:170:47:22

They've been through all sorts.

0:47:220:47:24

Look, Stephanie, I've been thinking about it, and I want them back. I want to foster them.

0:47:250:47:29

I've realised that when I gave them up it was for my sake. They should be with me. They're my family.

0:47:290:47:34

It's a bit more...complicated than that. Once you give them up...

0:47:340:47:40

Well... And the whole giant wheel is set in motion...

0:47:400:47:44

What are you saying?

0:47:440:47:46

I'm sorry, but...

0:47:460:47:48

It's not going to be that easy.

0:47:480:47:50

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0:47:550:47:58

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